Covid-19

When the Constitution was written, it was written with expectation that the population had a modicum of common sense.

Americans are orders of magnitude dumber today than 244 years ago. That the AG has to even make this statement dissolves what little hope I had for this country.
 
When the Constitution was written, it was written with expectation that the population had a modicum of common sense.

Americans are orders of magnitude dumber today than 244 years ago. That the AG has to even make this statement dissolves what little hope I had for this country.

Yep...and I find that fear breeds a stronger since of stupidity amongst the herds due to people giving up what *little* individual logic they still possessed.
 
If you want a glimpse into the life of a Paramedic in New York City during the pandemic, take a moment to listen to this interview with a couple of medics. The first one worked 13 cardiac arrests for just their ambulance, for a 16 hour shift, another paramedic who answered 37 cardiac arrests in one week.

I do not know how the different boroughs are faring or how each hospital in NYC is operating, but I can tell you as a former paramedic, and I am certain my esteemed colleages @Muppet and @policemedic would agree, these arrest numbers are other-worldly and staggering.

State of Emergency - This American Life
 
If you want a glimpse into the life of a Paramedic in New York City during the pandemic, take a moment to listen to this interview with a couple of medics. The first one worked 13 cardiac arrests for just their ambulance, for a 16 hour shift, another paramedic who answered 37 cardiac arrests in one week.

I do not know how the different boroughs are faring or how each hospital in NYC is operating, but I can tell you as a former paramedic, and I am certain my esteemed colleages @Muppet and @policemedic would agree, these arrest numbers are other-worldly and staggering.

State of Emergency - This American Life
Holy crap they are. Two a week used to be normalish for the city I grew up in (~200k people).
 
If you want a glimpse into the life of a Paramedic in New York City during the pandemic, take a moment to listen to this interview with a couple of medics. The first one worked 13 cardiac arrests for just their ambulance, for a 16 hour shift, another paramedic who answered 37 cardiac arrests in one week.

I do not know how the different boroughs are faring or how each hospital in NYC is operating, but I can tell you as a former paramedic, and I am certain my esteemed colleages @Muppet and @policemedic would agree, these arrest numbers are other-worldly and staggering.

State of Emergency - This American Life
What's interesting is how much conflicting data there is out there.

We have the experience you describe then we have this occurring up here:
Twin Cities Emergency Rooms Seeing Drastic Drop In Non-COVID-19 Patients
Some Minnesota hospitals worry Minnesotans feel forced to stay away if they have a medical emergency unrelated to COVID-19.

“I think people are afraid to come in because they don’t want to get sick,” said Dr. Dave Milbrandt, the VP of Emergency Medicine at M Health Fairview.

He says they’ve seen a 60% decline patients at the ER, which started dropping mid-March.

“My biggest fear is people not coming in to the ER for things that they should be coming in to the ER for, like strokes, like heart attacks,” Dr. Milbrandt said.
So, here, at least, if calls are up (I don't know that they are, this data point is missing), they're never making it to the ER.

What's even more interesting to me is this:
Data Shows Reduction in U.S. Heart Attack Activations During COVID-19 Pandemic
Cath Lab Digest said:
The Minneapolis Heart Institute Foundation® (MHIF) announced today the publication of a real-time data analysis pulled from its regional Level One STEMI (ST-elevation myocardial infarction) program that includes data reported from nine participating U.S. STEMI Centers. The preliminary analysis during the COVID-19 pandemic shows a 38-percent reduction in U.S. cardiac catheterization laboratory STEMI activations. This finding is consistent with the reduction reported in Spain. The analysis was published today in the Journal of the American College of Cardiology.

Given current potential environmental and emotional stressors, and a higher case of STEMI that is typically induced by viral illness, this is a departure from the increase in STEMI procedures that would have been expected. Potential rationale for the decrease in STEMI activations include:

    • Patients avoiding medical care due to social distancing or concerns of contracting COVID-19 in the hospital
    • STEMI misdiagnosis
    • Increased pharmacological reperfusion (use of medications to address the signs of STEMI in place of treating patients in the cath lab)

A nearly 40% unexplained drop in cardio procedures since this began. I've heard a similar from a cardiologist repeated second hand to me.

So, what's going on?
 
I do not know how the different boroughs are faring or how each hospital in NYC is operating, but I can tell you as a former paramedic, and I am certain my esteemed colleages @Muppet and @policemedic would agree, these arrest numbers are other-worldly and staggering.

11 of the top 20 counties nationwide for deaths from COVID-19, normalized by population, are in the NYC/NJ area.
 
The New York Times has identified my Fair City as being the likely next "hot spot", and has the highest (COVID) growth and death rate.

Woo hoo! We're number one! We're number one!

A good example of statistics, take away the nursing homes, and we are probably, like, number 2,443,219....
 
If you want a glimpse into the life of a Paramedic in New York City during the pandemic, take a moment to listen to this interview with a couple of medics. The first one worked 13 cardiac arrests for just their ambulance, for a 16 hour shift, another paramedic who answered 37 cardiac arrests in one week.

I do not know how the different boroughs are faring or how each hospital in NYC is operating, but I can tell you as a former paramedic, and I am certain my esteemed colleages @Muppet and @policemedic would agree, these arrest numbers are other-worldly and staggering.

State of Emergency - This American Life

Those numbers are staggering considering what normal workloads are. I generally see more trauma codes than other causes these days, but even when I was working a regular truck in the city and county, you could go a week or so without a medical code. And often, those codes were field pronouncements as the patient wasn't viable/responding to resuscitative measures. Trauma codes are their own animal, of course.

I think back to the last intubation I was involved with, which wasn't that long ago but before the cooties came on the scene. It was an auto/ped patient with a GCS 3 and the tube had to be done on the street (literally, on the roadway) with c-spine precautions at night in the rain. The other medic and I were all up in that airway without masks or eyepro. That would never fly today.

I do know that prehospital codes are up in the city, but I don't have hard numbers. I doubt it compares to NYC.
 
On a related issue, our govt. is taking an interesting line on the PRC, our greatest trading partner. Stripped of diplomatic niceties it’s a bare knuckle fight. Our public message is “let the WHO investigate what occurred. Give it the powers of a weapons inspection team. We don’t want this to happen again.” Stevie Wonder can see what’s going on here.
The PRC predictably has gone bonkers, threatening economic retaliation, to which our Foreign Minister has replied diplomatically, fuck off. We’ve done this alone so far & I hope it gathers some momentum internationally.
 
On a related issue, our govt. is taking an interesting line on the PRC, our greatest trading partner. Stripped of diplomatic niceties it’s a bare knuckle fight. Our public message is “let the WHO investigate what occurred. Give it the powers of a weapons inspection team. We don’t want this to happen again.” Stevie Wonder can see what’s going on here.
The PRC predictably has gone bonkers, threatening economic retaliation, to which our Foreign Minister has replied diplomatically, fuck off. We’ve done this alone so far & I hope it gathers some momentum internationally.
I wouldn't trust the WHO to even investigate a case of crabs from a common street hooker.
 
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On a related issue, our govt. is taking an interesting line on the PRC, our greatest trading partner. Stripped of diplomatic niceties it’s a bare knuckle fight. Our public message is “let the WHO investigate what occurred. Give it the powers of a weapons inspection team. We don’t want this to happen again.” Stevie Wonder can see what’s going on here.
The PRC predictably has gone bonkers, threatening economic retaliation, to which our Foreign Minister has replied diplomatically, fuck off. We’ve done this alone so far & I hope it gathers some momentum internationally.
There's a series of fiction books about how Australians fear an "Asian" enemy from the North. This was built around stereotypes from Australia's history with Japan of course but moreso the enemy in the series to my knowledge would be considered the Chinese if we were to actually give them a name. I need to read the book, I have only seen the movie. Tomorrow, When the War Began.
 
On a related issue, our govt. is taking an interesting line on the PRC, our greatest trading partner. Stripped of diplomatic niceties it’s a bare knuckle fight. Our public message is “let the WHO investigate what occurred. Give it the powers of a weapons inspection team. We don’t want this to happen again.” Stevie Wonder can see what’s going on here.
The PRC predictably has gone bonkers, threatening economic retaliation, to which our Foreign Minister has replied diplomatically, fuck off. We’ve done this alone so far & I hope it gathers some momentum internationally.
China's economic threats are hollow, they need you more then you need them.
 
There's a series of fiction books about how Australians fear an "Asian" enemy from the North. This was built around stereotypes from Australia's history with Japan of course but moreso the enemy in the series to my knowledge would be considered the Chinese if we were to actually give them a name. I need to read the book, I have only seen the movie. Tomorrow, When the War Began.
There’s better books to read & I wouldn’t settle on fiction. The Yellow Peril pops up from time to time, with Japan & then with Indonesia who are both now allies. It’s been in the national consciousness for a considerable amount of time and now China, which dwarfs both these countries in terms of threat. Their intelligence gathering is industrial & the PRC doesn’t care if anyone is caught. They demand compliance & get nasty when they don’t get it. You can forget Huawei & 5G as we did. Our government got mugged by reality.
 
There's a series of fiction books about how Australians fear an "Asian" enemy from the North. This was built around stereotypes from Australia's history with Japan of course but moreso the enemy in the series to my knowledge would be considered the Chinese if we were to actually give them a name. I need to read the book, I have only seen the movie. Tomorrow, When the War Began.

Based on the Indonesians. They were the kind of threat Asian actor in the 80s/90s.
 
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